Pursuing a Proactive Denials Strategy Helps Resolve Denials and Prevent Recurrence
A look at how one company is partnering with healthcare organizations to use data and technology to address the root causes of long-standing problems, including denials.
Providers push arbitration approaches used in some state surprise-bill laws
What should Congress learn from states’ experiences with laws attempting to curtail surprise healthcare bills?
Inconsistent address data could delay Medicare payments
One health system found in its Medicare enrollment system that addresses were missing for new facilities. Another found addresses still listed for a demolished facility.
Success Factors for Getting High-Cost Drugs Approved
The University of Rochester Medical Center’s high-cost drug manager works to help patients get access to appropriate drugs and mitigates the financial risk associated with buying and administering them.
Avoid ED Claim Challenges by Developing CDI Teams
UnitedHealthcare’s new policy of auditing certain emergency department claims should prompt hospitals to seek the expertise of clinical documentation improvement teams in outpatient claim processing.
Strategies for Managing Third-Party Liability Claims
Boston Medical Center has achieved average cycle times of 90 and 120 days respectively for workers’ compensation and motor vehicle accident claims.
Payment on Motor-Vehicle Claims: An Untapped Source of Revenue in Uncertain Times
George Abatjoglou explains the importance of knowing how to process a common, but often mishandled, type of claim.
Revenue Cycle Strategist: November 2017 Issue
Subscribers can view the December 2017/January 2018 issue of Revenue Cycle Strategist.
Video: Tips for Secure Medical Record Transmission to Payers
Common mistakes are not using security options to send records and not tracking what data or claims are sent.
Electronic Claim Processing Can Save Millions of Work Hours
If providers fully adopt automated processes for claim transactions, a minimum of 1.1 million hours of administrative work could be saved per business week each year, according to a 2016 CAQH study.